Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $2,989.00 / $11,581.00	Facility		$1,048.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $72.84 / $90.21	Professional		$50.17	$72.84	$90.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $205.30 / $380.05	Professional		$85.75	$205.30	$380.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $1,037.96 / $2,389.17	Facility		$72.20	$1,037.96	$2,389.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $1,218.47 / $2,150.25	Professional		$81.23	$1,218.47	$2,150.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $84.96 / $84.96 / $84.96	Facility		$84.96	$84.96	$84.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $119.36 / $119.36 / $353.93	Professional		$119.36	$119.36	$353.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $102.40 / $154.19	Professional		$65.54	$102.40	$154.19